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‘ Botox Police ’ : FDA crime unit draws fire over import crackdown
(Reuters) – On April 5, 2012, a criminal investigator from the Food and Drug Administration named Robert West charged into an oncology clinic in Greenville, Tennessee. West was chasing a lead that Dr. Anindya Sen and his wife, the clinic’s office manager Patricia Posey Sen, purchased an unapproved Turkish version of the cancer drug Avastin. But “Cowboy Bob,” as some defense attorneys call him, did not realize his interview was caught on the clinic’s surveillance cameras. West told Posey Sen she was guilty of buying counterfeit drugs and looked like a “deer in the headlights,” court...
Source: Mass Device - September 9, 2016 Category: Medical Equipment Authors: MassDevice Tags: Cosmetic/Aesthetic Food & Drug Administration (FDA) Source Type: news

How health IT can deliver on the promise of Medical Travel
Health IT for large systems, hospitals, and traditional physician practices is well underway. Enough so that innovators/startups, are starting to see consolidation and heavy competition. As I look around at new areas for health IT implementations, I think areas in medical travel or medical tourism (“MT”) appear to be great opportunities. A potent mix of the Internet, cloud computing and globalized medicine — when combined — should drive medical travel. I’ll be speaking at the Medical Travel and Global Healthcare Business Summit in Tampa Florida. That’s where nationally known healthcare care ...
Source: The Healthcare IT Guy - May 18, 2015 Category: Information Technology Authors: Shahid N. Shah Tags: Innovation Connected Health Medical tourism Telehealth Source Type: blogs

The transition of care between emergency department and primary care: A scoping study
ConclusionsA plethora of work has been published on the transition of care from ED to primary care. In order to decrease hospitalizations among the upcoming wave of patients with chronic diseases, it appears that the two most efficient areas to target are a primary care follow‐up appointment system and health care insurance. Further research is needed in particular to identify the patients who actually need follow‐up care, and to develop information technology solutions that can be effectively implemented within the current emergency healthcare system.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - October 30, 2016 Category: Emergency Medicine Authors: Clare L Atzema, Laura C Maclagan Tags: Original Contribution Source Type: research

Children with medical complexity: a scoping review of interventions to support caregiver stress
ConclusionsPositive findings of reductions in caregiver stress were noted within an emerging body of evidence on effective interventions for families of children with medical complexity. A commonality across domains was a significant focus on streamlining services and reducing the burden of care related to varied pressures experienced, including time, finances, care needs and service access, among others. There was non‐conclusive evidence however around which of the six identified intervention domains or combination thereof are most effective for reducing stress. These promising findings demonstrate that stress reduction...
Source: Child: Care, Health and Development - November 28, 2016 Category: Child Development Authors: H. Edelstein, J. Schippke, S. Sheffe, S. Kingsnorth Tags: Review Article Source Type: research

A Literature Review of Electronic Health Records in Chiropractic Practice: Common Challenges and Solutions
Conclusions Documentation errors are often innate in the EHR software. Improper utilization, insufficient training, or difficulty in integration of the EHR into the clinical office setting results in poor implementation of the electronic version of the clinical record. Solutions that may decrease documentation errors include EHR training, continued financial incentives, and appropriate implementation process and utilization of available software features.
Source: Journal of Chiropractic Humanities - January 18, 2017 Category: Complementary Medicine Source Type: research

Gaming the System
By NIRAN Al-AGBA, MD As physicians ready themselves for the future of medicine under onerous MACRA regulations, it seems appropriate to glance into the future and visualize the medical utopia anticipated by so many.  Value-based care, determined by statistical analysis, is going to replace fee for service.    Six months ago, I received my first set of statistics from a state Medicaid plan and was told my ER utilization numbers were on the higher end compared to most practices in the region.  This was perplexing as my patients tend to avoid ER visits at all costs and can be found milling about in my parking lot at 7am o...
Source: The Health Care Blog - February 11, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Abstract B17: Race and mortality in prostate cancer: A meta-analysis
This study demonstrates that AA men have higher risk of mortality when compared to Caucasians. The higher hazards for African Americans are consistent for both crude and adjusted HR. Thus, in conclusion, AA men are at higher risk of mortality due to prostate cancer than Caucasian men, even after accounting for potential confounders. Further research should be conducted to stratify and summarize the hazards by stage, grade and age. This can help establish better management guidelines so that AA men receive more aggressive treatment for prostate cancer, which in turn, can combat the increased risk of mortality in these patie...
Source: Cancer Epidemiology Biomarkers and Prevention - February 4, 2017 Category: Cancer & Oncology Authors: Nair, R. G., Geethakumari, P. R., Williams, A. A. A., Lepore, S. J. Tags: Novel Technologies: Poster Presentations - Proffered Abstracts Source Type: research

CARTI Reports Bigger Loss Than Expected
As CARTI works through its financial issues, the Little Rock cancer treatment organization recently posted wider than anticipated losses for the first two quarters of its fiscal year. CARTI reported a loss of $5.7 million when it budgeted a loss of $2.5 million for the first half of its fiscal year — that is, July through December 2016. Its net patient revenue was $180.5 million when it had expected $185.3 million, according to its financial statement on file with the Electronic Municipal Market Access system. One of its biggest increases in expenses was the cost of oncology drugs. That expenditure totaled $46.2 mill...
Source: Arkansas Business - Health Care - March 20, 2017 Category: American Health Source Type: news

Cancer studies based on secondary data analysis of the Taiwan's National Health Insurance Research Database: A computational text analysis and visualization study
In conclusion, in this study of 589 published articles on secondary data analysis of the NHIRD, indexed by PubMed between 2002 and 2015, we found that while the risk factors of cancer, treatment of cancer, and survival of cancer patients were popular research topics, end-of-life cancer care issues were less studied. Further studies should explore these areas since they are as important as treatment of the disease itself for many patients.
Source: Medicine - April 1, 2017 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Trends in sports-related concussion diagnoses in the U.S: a population-based analysis using a private-payor database.
CONCLUSION: Sports-related concussion diagnostic rates have grown significantly in the youth population. Quarterly, regional and gender distributions appear consistent with participation in concussion-prone sports. Utilization of individualized and multifaceted approaches are recommended to advance diagnosis, assessment and management of concussions in the U.S. POPULATION: PMID: 28475400 [PubMed - as supplied by publisher]
Source: The Physician and Sportsmedicine Online - May 8, 2017 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

Scenarios for Health Care Reform (Part 1 of 2)
All reformers in health care know what the field needs to do; I laid out four years ago the consensus about patient-supplied data, widespread analytics, mHealth, and transparency. Our frustration comes in when trying to crack the current hide-bound system open and create change. Recent interventions by US Republicans to repeal the Affordable Care Act, whatever their effects on costs and insurance coverage, offer no promise to affect workflows or treatment. So this article suggests three potential scenarios where reform could succeed, along with a vision of what will happen if none of them take hold. Patients Forge Their Ow...
Source: EMR and HIPAA - May 16, 2017 Category: Information Technology Authors: Andy Oram Tags: Clinical Decision Support Healthcare Analytics Healthcare Business Hospitals mHealth Patients Personal Musings PHR Precision Medicine Data Analytics Health Care Costs Health Care Reform Patient-Generated Data Source Type: blogs

Healthcare Cost Estimator Tools Evolving; Consumers Can Compare Prices
I have posted multiple notes about the opacity of healthcare pricing, particularly that of hospital bills (see, for example:Maryland Controls Hospital Prices; Now Wants to Cap Overall Hospital Spending;Coding for Hospital Services; One Reason for the High Cost of Healthcare). There has been some progress in making prices more transparent and a recent article went into great detail about this topic (see:Is the price right? Solving healthcare ’s transparency problem). In today's note, I will only address healthcare cost-estimator tools but read this whole article if you are interested. Below is an excerpt from it:The a...
Source: Lab Soft News - September 8, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Healthcare Insurance Medical Consumerism Source Type: blogs

Combined Prenatal Pesticide Exposure and Folic Acid Intake in Relation to Autism Spectrum Disorder
Conclusions: In this study population, associations between pesticide exposures and ASD were attenuated among those with high versus low FA intake during the first month of pregnancy. Confirmatory and mechanistic studies are needed. https://doi.org/10.1289/EHP604 Received: 07 June 2016 Revised: 16 March 2017 Accepted: 18 March 2017 Published: 08 September 2017 Address correspondence to R. J. Schmidt, 123 Medical Sciences 1C, One Shields Ave., Davis, CA 95616-8638 USA; Telephone: (530) 752-3226. Email: rjschmidt@ucdavis.edu *Current address: Department of Mental Health, Wendy Klag Center for Autism and Developmental D...
Source: EHP Research - September 8, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Research Source Type: research

CBO Sees Slow Growth For Exchanges; Administration Promotes Agents And Brokers In Marketplaces
On September 14, 2017, the Congressional Budget Office issued its annual report on Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2017 to 2027. The CBO and Joint Committee on Taxation (JCT) estimate that in 2017, the federal subsidies, taxes, and penalties associated with health insurance coverage for people under age 65 will result in a net federal subsidy of $705 billion, about 3.7 percent of the gross domestic product (GDP). This amount is projected to rise to $1.2 trillion, or 4.1 percent of GDP by 2027.  About 244 million noninstitutionalized civilians under age 65 have health insur...
Source: Health Affairs Blog - September 15, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage agents and brokers navigators and assisters Source Type: blogs